Necessity of Antibiotics following Simple Exodontia

Introduction There is a lack of clear guidelines for the use of antibiotics and analgesics in medically healthy patients as well as endodontic pain management strategies. Diseases of the dental pulp and periapical tissue are mainly caused by microorganisms; however, not all cases of dental infections require the administration of systemic antibiotics. The purpose of the present survey was to evaluate the prescription pattern of antibiotics among general practitioners and specialists practicing in Karnataka. Methods This descriptive cross-sectional survey was based on a structured questionnaire in Google Form with 17 questions, including the demographic characteristics and the knowledge and practice of the dentists on the antibiotic prescription. Completed questionnaires were analyzed using the SPSS software to determine relationships between factors affecting the prescription patterns and educational qualification. Results Of the 200 participants surveyed, 169 (84.9%) felt that the overuse of antibiotics can lead to resistance of bacteria. Amoxicillin 500 mg was the most prescribed antibiotic (97%) and cephalexin by only 3% of the participants. Majority of the dentists prescribed antibiotics on a weekly basis (51.8%) during their practice and the preferred duration was for 5 days (62.8%). Conclusion The results of the present study indicated a lack of knowledge and uncertain diagnosis on prescribing antibiotics leading to overprescription and further antibiotic resistance. The majority of the dentist feels there is an overuse of antibiotics, but at the same time prescribes it on a daily basis.

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“…Most of the times the body's host response is more than sufficient to counter the level of bacteremia anticipated. 19…”

Section: Discussionmentioning

confidence: 99%

“…Most of the times the body's host response is more than sufficient to counter the level of bacteremia anticipated. 19 On the contrary, only 24.7% of the dentists were aware of the latest AAPD guidelines (►Table 3) and majority of the…”

Section: Discussionmentioning

confidence: 99%

Prescription Pattern of Antibiotics among General Dental Practitioners in Karnataka—A Cross-Sectional Survey

Jenny

Nagar

Raghunath

et al. 2022

Dental Journal of Advance Studies

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“…Recent studies show that antibiotic prescription is not necessary in healthy patients as long as strict aseptic and antiseptic management is performed. [56][57][58] A lower percentage of dentists erroneously prescribed antibiotics during endodontic treatments without systemic symptoms (18.7 percent), periodontal treatment without surgery (11.7 percent), gingivitis (13.9 percent), anesthetic complications (4.9 percent), and pain (3.6 percent). Abbot 59 interviewed US dentists and endodontists to learn the prescription of antibiotics for different pulpal and periapical conditions and found that these professionals used Chi-square test to compare the awareness, attitudes, and intention to practice levels among dentists in the seven cities.…”

Section: Discussionmentioning

confidence: 99%

Prescribing antibiotics by dentists in Colombia: Toward a conscientious prescription

Angarita-Díaz

Cepeda

Rodriguez‐Paz

et al. 2020

J Public Health Dent

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Objectives: Inappropriate prescription of antibiotics contributes to antibiotic resistance. Therefore, the objective of this study was to determine the awareness, attitudes, and intention to practice of dentists prescribing antibiotics in Colombia in order to design a virtual learning environment on this subject. Methods: In a descriptive study across seven cities, 700 dentists from different Colombian cities were requested to complete a validated questionnaire containing five sections: general information, awareness on antibiotic effectiveness and antibiotic resistance, attitudes regarding prescription decision, intention to practice concerning clinical cases, and complementary information. The level of awareness, attitudes, and intention to practice was determined and Chi-square test was used to determine the existence of significant differences among cities. Results: The majority of dentists showed a medium level regarding the number of correct answers on awareness (62.4 percent) and attitudes (88.7 percent) and a high level on intention to practice (91.7 percent). Common errors within the awareness section included the meaning of the term "antibiotic resistance" (35 percent) and most dentists were not convinced that such resistance could be derived from prescription of antibiotics (51.2 percent). In the attitudes section, only 45 percent declared that they prescribe antibiotics based mainly on symptoms, and the intention to practice section showed a significant percentage of unnecessary prescription (51 percent for pacemaker users) or absence of prescription (53.9 percent for ventricular septal defect) in antibiotic prophylaxis for infectious endocarditis (IE). Conclusion:The dentists interviewed should be trained and made aware of antibiotic resistance, microbiological and clinical foundations, and current antibiotic prophylaxis guidelines.

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“…14 Another study conducted by Lodi et al in 2012 showed that the administration of antibiotics with inappropriate indications can cause adverse effects such as vomiting, diarrhea, abdominal pain, secondary infections, allergic reactions, and bacterial resistance. 3,[15][16][17] One of the effects of the use of antibiotics that has a big influence is bacterial resistance to antibiotics. Bacterial resistance to antibiotics is a condition in which bacteria can survive after being given antibiotic treatment.…”

Section: Introductionmentioning

confidence: 99%

An Overview of antibiotic prescription after tooth extraction across dentist in Bandung City, Indonesia: A Cross-Sectional Study

Shasya

Putri²,

Hadikrishna³

2022

Odonto : Dental Journal

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Background: Tooth extraction is one of minor oral surgical procedure and antibiotics are commonly prescribed before or after the tooth extraction procedure. Antibiotic is used as therapy or to prevent infections after tooth extractions. Recent studies discovered that misuse of antibiotics by dentists has been an issue nowadays. The purpose of this study is to investigate the frequency and varieties of antibiotics post tooth extraction used by dentists in Bandung City. Method: This study uses a quantitative descriptive method with a crosssectional approach using a questionnaire. The samples in this study are general dentists and specialists in Bandung. The questionnaire was sent to dentists using proportionate stratified random sampling. Result: The most frequently used antibiotics in Bandung City are Amoxicillin 500 mg (83,1%) and Clindamycin (24,3%). Most respondents prescribed antibiotics after tooth extractions for 5 days. Conclusion:A small percentage of Dentists in Bandung City still prescribed antibiotics in conditions that do not always require antibiotics, such as simple post-extraction, irreversible pulpitis, and reversible pulpitis. Broad-spectrum antibiotics are more commonly prescribed to prevent infections. Furthermore, antibiotic usage after simple tooth extraction needs to be done by considering the patient's condition, diagnosis, and difficulty level of extraction.

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Necessity of Antibiotics following Simple Exodontia

Cited by 10 publications

References 14 publications

Prescription Pattern of Antibiotics among General Dental Practitioners in Karnataka—A Cross-Sectional Survey

Prescription Pattern of Antibiotics among General Dental Practitioners in Karnataka—A Cross-Sectional Survey

Prescribing antibiotics by dentists in Colombia: Toward a conscientious prescription

An Overview of antibiotic prescription after tooth extraction across dentist in Bandung City, Indonesia: A Cross-Sectional Study

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